Walgreeen Co.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PS33463 Issued in FL

Legal business name

WALGREEEN CO.

Practice address

9700 Argyle Forest Blvd
Jacksonville, FL 32222-2809

Phone

(904) 778-0871

NPI assigned

May 25, 2010

Last updated

May 25, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mandel Jermaine Hearns, PHARM. DNPI 1851672190

Title

Pharmacist

Phone

(904) 778-0871

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mandel Jermaine Hearns, PHARM. D

  • Pharmacist
  • Jacksonville, FL
  • NPI 1851672190
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1538488945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 ARGYLE FOREST BLVD.",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322227918",
            "telephone_number": "904-778-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 ARGYLE FOREST BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322222809",
            "telephone_number": "904-778-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALGREEEN CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "HEARNS",
        "authorized_official_first_name": "MANDEL",
        "authorized_official_middle_name": "JERMAINE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "904-778-0871",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM. D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PS33463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7979",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Nussbaum Waldron
• Nathan Hunter Waldron, M.D.
• Bayli Briana Waldroup
• James A Waler, MD
• Cara Wales
• Walgreen Co (Walgreens 09479)
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• Walgreen Co (Walgreens #05129)
• Walgreen Co (Walgreens #03287)
• Walgreen Co (Walgreens #10972)

• Community/Retail Pharmacy in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.